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HomeMy WebLinkAboutZ-22886FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22886 Date MARCH 2~ 1994 THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING Location of Property 485 SECOND STREET NEW SUFFOLK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 9 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior toz APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22886 dated MARCH 2, 1994 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ACCESSORY BUILDING IN REAR YARD * The certificate is issued to GERALD & PAMELA S. PICHER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. ~~/u~i 1 ~ ing/I~ Spect or· ~ Rev. 1/81 LOCATION: BUILDINC DEPART?lENT TOWN OF SOU~IOLD tlOUSINC CODE INSPECTION REPORT 485 SECOND STREET NEW SUFFOLK, N.Y. (number & street) SUBDIVISION MA[' NO. NAME OF OWNER (s) GERALD & PANELA S. PICHER OCCUPANCY SINGLE, FAMILY (type) ADMI%~O BY: TOM McCARTHY THOMAS McCARTHY KEY AVAILABLE SOULC.?- OF REQUEST: (munic i-pal it y ~.or (s) (O~ner-tcnantt ACCOMPANIED SUFF. CO. T~ MAP NO. I000-I17-9-24 DATE: NOV. ]9, 1992 DIALLING: IYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATI1R00M (s)' PORCH TYPE BREEZEWAY DO}~STIC H0~ATER TYPE I~AT OIL O~IER: WOOD CEHENT BLOCK IST FLR. '5 I TOILET ROOM (s) DECK, TYPE FIREP~ICE TYPE HEATER WARM AIR ~ STORIES !' # EXITS @ CELLAR FULL CRAWL- SPACE 3RD FLR. OFF BOILER UTILITY ROOM PATIO· TYPE GARAGE RAISED CEMENT AIRCONDITIONING HO~ATER XX ACCESSORY STRUCTURES: CARAGE, TYPE OF CONST.. SQD~ING POOL ACCESSOR[ ~UILDINGWITH STORAGE, TYPE CONST. PLUMBING IN NEED'OF REPAIR. · CUEST, TYPE CONST. OTILER: VIOI=%TIONS: CIIAPTER 45 N.Y. STATE UNIFORM FIR~ PREVENTION & BUILDING CODE LOCATION DESCRIPTION e~RT. SEC. ~RKS: BP #I4056Z-CO.Z-22884 (Sunroom) BP #21922-Z-CO Z-22885 (WOOD STOVE) 'ECTED BY: DA'rE ON INSPECTION JAN. 26, 1994 TIME START 9:45 END 10:15 Form No. 6 TOWN OF SOUTUOLD BUILDING DEPARTMENT TOWN HALL 765-1802 · : APPLICATION FOR.CERTIFICATE OF OCCUPANCY N0¥2 A. This application must be filled in by typewriter OR.ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). ~. Approval of electrical installation f~om Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder.~$ed in system contains less than 2/10 of 1% lead. $. Commercial building, industrial b~ilding, multiple residences an~ similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. ~.. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: 1. -Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application an~ 'a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons'therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,' Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,  Additions to accessory building $25.00. Businesses $50.00. ·Certificate of Occupancy on Pre-existing Building.- $100.00 3. Copy of Certificate.of Occupancy - $5.00 over 5 years - $i0.00 '~" 4. .Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 · ..... .... ~er or Owners of Property ................................................... sty Tax Map No I000, Section ..... Il2 ..... Block .... .~. .......... Lot.~.% .................. ~diviaion .'; ' Filed Map Lot -mit No Dat~ Of Permit APplicant !th Dept. Approval .......................... Underwriters Approval .......................... ~lng Board Approval ' ' ;t for: Temporary Certificate ........... Final Certicate..~.. ....... ................ APricoT N/O/F HENRY B. JACOBS S. 83 °43'40"E. 0.~' £. N. 84°1B'00'' W. 14. 5' fF. conc~ 6/o~/c ~o~; ZZ"/' lot. '96' N/O/F THOMAS LOWRY El ANNE LOWRY JACKSON CERTIFIED TO: AMERICAN TITLE INSURANCE COMPANY GERALD A. PICHER PAMELA S. PICHER Prepered ill aceordance with the minimum V~andards for title surYeys as established by ~,,o L.i.A.L. $. end epproved and adopted ,~,r such ~e by The New York State Land R O. BOX 90 9 MAIN ROAD SOUTHOLD , N.Y. 11971 STREET SUR VE Y GERALD A. PAMELA S. AT FOR PICHER PICHER NEW SUFFOLK  TOWN OF SOUTHOLD SUFFOLK COUNTY , N. Y. I000 - 117 - 09 - 024 ~ ENGINEERS RC. (516) 765 - 5020 - 358 (.3 LU 1992 ~vnerts) do(e.~) hereby CONSE.';T TO INSPECTION That the undersigned (is) (are) the owner(s) of the premise.'; in thc To,sm A]~ . which is uhown and dcsi~n.r,~cd on County ~ax map as Distric~ lOOa, Section , Block_ ~, Lo~ 'That the undersigned (has) (ha~e) filed, o~ caused ~o be ~iled. an applica- tion in the Soufl~ald To~ Euildin~ Inspector's Orrice rot the That the undersigned do(es) hereby give consent to lhe BuildLn~ Inspectors of the Town of Southold to enter upon the above described property, including nn'~,' and all buildings located thereon, to conduct such inspections as they may deern necessary with respect to the aforesaid applicalion, ' ]"~; ~ insp~cCior, s to de:er.'-nine that said premises comply with all of tim laws; ordinances, .rules and re.~ulations o£ the Town cf Southold. The undersigned, in consentinK to such inspections, do(es) so ~%-ith the kno",:'led~e and understandinff~ that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for ]a,~on., o£ [he lay/s, ordinances, rules or re~-ula~ions o£ ~he Town o£Southold. Dated: